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Purpose: This study was conducted to develop a cognitive improvement program and identify its effects on cognition, self-efficacy, depression, and quality of life in elderly of small groups. Methods: This study used the preand post-design of the non-equivalent control group. The participants contained 121 subjects in the experimental group and 77 subjects in the control group, all over 65 years of age who were provided with visiting health care services at a public health center in G city. The cognitive improvement program consisted of 10 sessions for ten weeks with a total of 90 minutes program per one session. Results: The experimental group showed significant improvement in cognition, depression, and quality of life but was statistically insignificant improvement in self-efficacy compared to the control group. Conclusion: The cognitive improvement program developed in this study should be actively encouraged to implement effective interventions to improve and prevent mild cognitive impairment and dementia of the elderly in the community.